Correlation of MRI and arthroscopic diagnosis of knee pathology in children and adolescents

Michael J. McDermott, Beth Bathgate, Bruce L. Gillingham, William L. Hennrikus

Research output: Contribution to journalArticle

55 Scopus citations

Abstract

The accuracy of magnetic resonance imaging (MRI) in diagnosing knee pathology in the pediatric and adolescent population is not well established. The purpose of this study was to correlate the findings of MRI and knee arthroscopy in children and adolescents. One hundred and eight consecutive knee arthroscopies performed in patients ages 4-17 years between 1992 and 1996 were retrospectively reviewed. Fifty-three of these patients underwent preoperative MRI. Age-related comparisons were then made between MRIs and observed intraoperative meniscal and anterior cruciate ligament pathology. The pediatric group (ages 4-14 years) was demonstrated to have an appreciable decrease in sensitivity, specificity, positive predictive value, and accuracy for essentially all categories of pathologic changes. Conversely, negative predictive values for the pediatric group exceeded those of the adolescent group (ages 15-17 years) in each category. The ability of MRI to predict intraarticular knee pathology among adolescents is comparable to that in adults, whereas it is much less accurate in the pediatric population.

Original languageEnglish (US)
Pages (from-to)675-678
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume18
Issue number5
DOIs
StatePublished - Oct 12 1998

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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